Samuel Brian Mcintyre in Peoria - Health Service
Samuel Brian Mcintyre - NPI 1386608008
Samuel Brian Mcintyre is a Health Service in Peoria, Illinois. Samuel Brian Mcintyre practices all healthcare services and medical treatments related to Health Service. The NPI Number for Samuel Brian Mcintyre is 1386608008. The last update date is 2007-07-08.
Samuel Brian Mcintyre's current location address is 7309 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096929898 and fax number 3096929055. The mailing address for Samuel Brian Mcintyre is 7309 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Brian Mcintyre |
|---|---|
| Address | 7309 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096929898 |
| Fax Number | 3096929055 |
| Sole Proprietor | X |
| Credentials | ED.D |
NPI Number Detail
| NPI Number | 1386608008 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7309 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616142085 |
| Phone Number | 3096929898 |
| Fax Number | 3096929055 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Samuel Brian Mcintyre by the Centers for Medicare & Medicaid Services?
The Samuel Brian Mcintyre has been assigned the NPI (National Provider Identifier) 1386608008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Samuel Brian Mcintyre's facilities are geographically located?
The facilities of Samuel Brian Mcintyre are physically situated at the following location: 7309 N Knoxville Ave, Peoria, IL, 616142085.
What is Samuel Brian Mcintyre's specialized field of practice, and what is the corresponding taxonomy classification code?
The Samuel Brian Mcintyre's area of specialization is Health Service, and the corresponding taxonomy code that categorizes this field of practice is 103Th0100X.
On what date did Samuel Brian Mcintyre receive its 1386608008 assignment from the Centers for Medicare & Medicaid Services?
The Samuel Brian Mcintyre was assigned its 1386608008 on 2006-04-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Samuel Brian Mcintyre, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Samuel Brian Mcintyre, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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